Abstract

To the Editor: Seahorses (Hippocampus guttulatus and H. hippocampus) with signs of tail rot disease (lethargy, lack of appetite, white spots on the skin, and necrotic tail lesions) were collected from aquaria at the Institute of Marine Research, Spain, during March 2007 through May 2009 (Figure A1). Microscopic examination of cutaneous lesions after Ziehl-Neelsen staining disclosed acid-fast bacilli. Microbiologic analysis showed unidentified Mycobacterium strains. Subsequently, we used PCR amplification of repetitive bacterial DNA elements to group the strains (1). The results showed an identical PCR pattern for the strains; thus, we selected strain BFLP-6T for analysis. On the basis of phenotypic and genotypic data, we consider the unknown acid-fast bacillus to represent a novel species of the genus Mycobacterium, for which the name M. hippocampi sp. nov. is proposed. Extraction and amplification of genomic DNA for 16S rRNA sequence analysis were conducted as described (2), and the RNA polymerase B (rpoB) gene was amplified and sequenced as described by Adekambi et al. (3). Sequences obtained were compared against the sequences available in the GenBank, EMBL, and DDBJ databases obtained from the National Center for Biotechnology Information by using the BLAST program (4). Phylogenetic analysis were performed by using MEGA version 4.0 (5) after multiple alignments of data by ClustalX (6). Distances (distance options according to the Kimura 2-parameter model) and clustering with the neighbor-joining method were determined by using bootstrap values for 1,000 replications. The 16S rRNA sequence of strain BFLP-6T was a continuous stretch of 1,473 bp (GenBank accession no. {type:entrez-nucleotide,attrs:{text:FN430736,term_id:254527702,term_text:FN430736}}FN430736). Sequence similarity calculations after a neighbor-joining analysis indicated that the closest relatives of strain BFLP-6T were M. flavescens (98.26%), M. goodii (98.01%), M. duvalii (97.94%), M. smegmatis (97.92%), and M. novocastrense (97.86%) (Figure). Similar results were obtained for strain BFLP-6T when the maximum-parsimony algorithm was used. The rpoB gene has also been proposed as a useful marker for inferring bacterial phylogeny (7,8). A pair-wise analysis of the rpoB sequence of strain BFLP-6T (GenBank accession no. {type:entrez-nucleotide,attrs:{text:FR775976,term_id:320202798,term_text:FR775976}}FR775976) showed low levels of similarity (<89.8%) with other species of the genus Mycobacterium. The G + C content of DNA, as measured by the thermal denaturation method, was 66.7 mol%. Strain BFLP-6T was found to consist of gram-positive–staining, aerobic, acid-alcohol–fast, nonmotile, and nonsporulating cells. A scanning electron micrograph showed that strain BFLP-6T is irregular, rod-shaped, ≈1.2–1.4 μm in length, and 0.4 μm in diameter. Colonies on Lowenstein-Jensen medium supplemented with 1.5% (wt/vol) sodium chloride were orange after incubation at 25°C for 5 days. The colonies were positive for catalase, glucose fermentation, arginine dihydrolase, urease, and aesculin, and assimilation of glucose, mannitol, potassium gluconate, and malate. The colonies were negative for nitrate reduction to nitrite, oxidase, indole production, gelatin hydrolysis, N-acetyl-d-glucosamine; and assimilation of arabinose, mannose, maltose, caprate, adipate, citrate, and phenylacetate. The major fatty acids were C18:1ω9c, C16:0, and C16:1ω6c. Mycolic acids included α-mycolates, keto-mycolates, and nonhydroxylated fatty acid methyl esters. In addition, strain BFLP-6T showed resistance to isoniazid, thiophene-2-carboxylic hydrazide, hydroxylamine, thiacetazone, and picrate. However, the strain exhibited susceptibility to ciprofloxacin, clarithromycin, and rifampin. The type strain BFLP-6T has been deposited in the German Collection of Microorganisms and Cell Cultures, under reference DSM 45391T; and in the Belgian Coordinated Collections of Microorganisms under reference LMG 25372T. Figure Neighbor-joining phylogenetic tree constructed from 16S rRNA gene sequences, showing the position of strain BFLP-6T (in boldface) among other Mycobacterium species. Numbers at node indicate bootstrap values (expressed as percentages of 1,000 replications); ...

Highlights

  • Yes receive isoniazid if their TB developed when they were young

  • These findings suggest that first-line anti-TB medications still have good in vitro activity against M. tuberculosis strains in elderly patients

  • In contrast to the study by Vinnard et al [1], our results showed that isoniazid-resistant M. tuberculosis was significantly less likely to be isolated from nonrespiratory than from respiratory specimens

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Summary

Pulmonary tuberculosis

The resistant rate was lower for M. tuberculosis strains isolated from elderly persons than from younger adults. These findings suggest that first-line anti-TB medications still have good in vitro activity against M. tuberculosis strains in elderly patients. In contrast to the study by Vinnard et al [1], our results showed that isoniazid-resistant M. tuberculosis was significantly less likely to be isolated from nonrespiratory than from respiratory specimens. The reasons for this finding are unclear. Hsueh); National Taiwan College of Medicine, Taipei Hsueh); and Far Eastern Memorial Hospital, New Taipei City, Taiwan

Tail Rot
Findings
Jensen medium supplemented with
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